Healthcare Provider Details

I. General information

NPI: 1578900858
Provider Name (Legal Business Name): ASHLEY ROBERTSON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY TOLBERT DO

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15059 N SCOTTSDALE RD STE 600
SCOTTSDALE AZ
85254-2685
US

IV. Provider business mailing address

1 ATWELL RD
COOPERSTOWN NY
13326-1301
US

V. Phone/Fax

Practice location:
  • Phone: 214-666-9548
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberED0454A
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number300422
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: